Organization
COASTAL ANESTHESIA ASSOCIATES, PA
Active
Parent organization
COASTAL ANESTHESIA ASSOCIATES, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL ANESTHESIA ASSOCIATES, PA
Authorized official
DR. DAVID P LENSCH M.D. (PRESIDENT)
(910) 763-4555
Entity
Organization
Contact information
Practice address
1801 S 17TH ST, WILMINGTON, NC 28401-6443
(910) 763-4555
(910) 798-8922
Mailing address
1801 S 17TH ST, WILMINGTON, NC 28401-6443
(910) 763-4555
(910) 798-8922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119V
BCBS GROUP NUMBER
NC
01
—
24267
MEDCOST GROUP NUMBER
NC
01
—
2612380
CRNA GROUP MEDICARE NUMBE
—
01
—
4007773
BCBS TENNESSEE GROUP NO
NC
05
—
890119V
—
NC
Enumeration date
07/13/2006
Last updated
04/20/2008
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